Oral and written information was given to parents and patients and written consent from patients over 15 years and parents were received. The study is approved by the Danish Data Protection Agency (1–16–02-147-20) registered 1st of April 2020. The study points towards an influence of the OCD phenotype, baseline insight suggesting a continued vulnerability, and a family history of psychiatric disorders. The effect was examined in two separate populations strengthening the findings. To our knowledge, this is one of the first studies examining the effect of COVID-19 in children/adolescents with OCD. The worsening was most pronounced in children with early age of onset and a family history of attention deficit hyperactivity disorder. Poor baseline insight showed a trend to predict a symptom worsening. For both groups, OCD aggressive symptoms predicted a significant worsening. The aggravation of OCD correlated with the worsening of anxiety, depressive symptoms, and the extent of avoidance behavior. In both groups, but most pronounced in the survey group, participants experienced a worsening of their OCD, anxiety, and depressive symptoms. For the clinical group, data from patient files was available. Most of these children/adolescents were diagnosed years ago, and their primary treatment was completed. The other group was a survey group identified through the Danish OCD Association. All the children/adolescents had a current close contact to a therapist or doctor. One group was a clinical group newly diagnosed at a specialized OCD clinic. MethodsĪ questionnaire was distributed to two separate groups of children/adolescents. The present study aimed to examine how children/adolescents with OCD react towards COVID-19 crisis. Little is known about children/adolescents with OCD. COVID-19 pandemic has coursed a global crisis and has been associated with onset of psychiatric disorders in adults. Traumas may trigger or aggravate OCD symptoms. Redoing something if they had an intrusive thought during to neutralize it (i.e.Obsessive compulsive disorder (OCD) is a distressing psychiatric disorder.Sanitizing their groinal area if they felt something down there after having a thought.Punishing themselves (not eating enough, calling themselves mean names, etc.) for having the thoughts.Confessing intrusive thoughts to others.Neutralizing thoughts by replacing a “bad” thought with a “good” thought.Keeping a mental note of, or writing down, markers throughout the day to use as reassurance that they have not acted inappropriately.Washing hands after touching kids or objects that kids have touched so as not to be “contaminated”.Repeatedly asking others for reassurance about the content of the obsessions or reassuring themselves mentally.Excessively searching the internet for reassurance that they are not a pedophile.Mentally reviewing past situations to make sure that they have not acted inappropriately.Ruminating (analyzing, trying to solve, attempting to seek certainty) about the obsessions.

Doing something appropriate with a child (i.e., high-fiving them or holding them) to check that they are not aroused by or attracted to them.Staring at kids to check that they do not arouse them.Purposely bringing on the thoughts/images to gauge their reaction to them.Mentally checking bodily sensations (for example, checking their groinal area to see if they are aroused) to prove or solve obsessions.Mentally checking feelings internally (for example, Do I enjoy this thought?) to prove or solve obsessions.Avoiding sexual intimacy with themselves and others for fear that a thought or image will pop in during the act.Avoiding media (TV shows, movies, photographs, social media platforms) that have children in them.Avoiding being around children, looking at children, holding children, etc.

Young child ocd sign of trauma